P2‐245: Developing a new workforce to provide person‐centered care in community settings

Austrom, Mary Guerriero; Carvell, Carly A.; Alder, Cathy A.; Gao, Sujuan; Boustani, Malaz; LaMantia, Michael M.

doi:10.1016/j.jalz.2015.06.785

Cited by 1 publication

(1 citation statement)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The program, called Aging Brain Care (ABC), delivers population health management and case management services to older adults suffering from mental illness and their informal caregivers (family members and friends), using a collaborative care model progressively developed and tested since 2008 (Austrom et al, 2015; Boustani et al, 2011; Callahan et al, 2011; French et al, 2014; LaMantia et al, 2015). ABC is operational in one of the largest safety net health systems in the US, providing inpatient, outpatient, and mental healthcare to over a million people, including a large proportion of low-income, low-literacy, underinsured, and uninsured patients.…”

Section: Introductionmentioning

confidence: 99%

Human factors in mental healthcare: A work system analysis of a community-based program for older adults with depression and dementia

et al. 2017

View full text Add to dashboard Cite

Mental healthcare is a critical but largely unexplored application domain for human factors/ergonomics. This paper reports on a work system evaluation of a home-based dementia and depression care program for older adults, the Aging Brain Care program. The Workflow Elements Model was used to guide data collection and analysis of 59 hours of observation, supplemented by key informant input. We identified four actors, 37 artifacts across seven types, ten action categories, and ten outcomes including improved health and safety. Five themes emerged regarding barriers and facilitators to care delivery in the program: the centrality of relationship building; the use of adaptive workarounds; performance of duplicate work; travel and scheduling challenges; and communication-related factors. Findings offer new insight into how mental healthcare services are delivered in a community-based program and key work-related factors shaping program outcomes.

show abstract